45D2160131 CLIA NUMBER - SAMSWAY LIVING CENTER

Laboratory Demographics

CLIA Number: 45D2160131

Facility Name: SAMSWAY LIVING CENTER

Facility Address:
1760 SAMSWAY
BEAUMONT, TX
ZIP 77706
Get Directions

Facility Phone Number: 409 832-4112

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1255445177

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	45D2160131
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	SAMSWAY LIVING CENTER
Street	1760 SAMSWAY
City	BEAUMONT
State	TX
ZIP	77706
Phone	409 832-4112
CertificateType	4
CertificateEffectiveDate	1/4/2023
CertificateExpirationDate	1/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024